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    The Development of a New Cardiac Rehabilitation Needs Assessment Tool (CRNAT) for Individualised Secondary Prevention

    Access Status
    Fulltext not available
    Authors
    Smith, J.
    Garton-Smith, J.
    Briffa, T.
    Maiorana, Andrew
    Date
    2015
    Type
    Journal Article
    
    Metadata
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    Citation
    Smith, J. and Garton-Smith, J. and Briffa, T. and Maiorana, A. 2015. The Development of a New Cardiac Rehabilitation Needs Assessment Tool (CRNAT) for Individualised Secondary Prevention. Heart Lung and Circulation.
    Source Title
    Heart Lung and Circulation
    DOI
    10.1016/j.hlc.2015.01.001
    ISSN
    1443-9506
    School
    School of Physiotherapy and Exercise Science
    URI
    http://hdl.handle.net/20.500.11937/42177
    Collection
    • Curtin Research Publications
    Abstract

    Background: Cardiac rehabilitation and secondary prevention are evidence-based strategies to reduce the risk of recurrent cardiac events but are underutilised. New approaches are required to improve uptake. Methods: A new cardiac rehabilitation needs assessment tool (CRNAT), for use by cardiology ward nurses, was developed and refined in collaboration with stakeholders through action research. The tool documented patients' risk factors, initiated a discussion about secondary prevention and linked patients to post-discharge follow-up. The initial version of the tool was developed through consultation with cardiac rehabilitation specialist staff (n=3), reviewed by ward nurses (n=4) and general practitioners (GP) (n=8), and piloted in patients (n=8). Review was undertaken at six months post implementation through patient (n=66) and GP (n=10) surveys, with additional patient feedback through focus groups (n=8 patients) and phone interviews (n=14). At 12 months, ward nurses (n=21) were surveyed. Results: The CRNAT was well regarded by patients and GPs and stakeholder feedback resulted in only minor changes to the tool's content. Feedback from ward nurses led to important changes to the process of administering the tool to streamline its use in an inpatient setting. Conclusions: Feedback from end users is important when developing a new clinical tool to ensure it meets their requirements.

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